21D0968220 CLIA NUMBER - M RITA GHOSH, MD, PC

Laboratory Demographics

  • CLIA Code: 21D0968220
  • Facility Name: M RITA GHOSH, MD, PC
  • Facility Address: 15200 SHADY GROVE RD SUITE 400
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 738-0053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: M RITA GHOSH, MD
  • NPI Number: 1770593238
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0968220
LAB Type Physician Office
Facility Name M RITA GHOSH, MD, PC
Street 15200 SHADY GROVE RD SUITE 400
City ROCKVILLE
State MD
ZIP 20850
Phone 301 738-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director M RITA GHOSH, MD

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This page was last updated on: 9/29/2025